With pulmonary TB so prevalent in our part of the world we seen a lot of cases of acute abdomen, or abdominal ascitis or strictures where our suspicion is high for abdominal TB but diagnosing it becomes a challenege. What are the protocols being followed at your institute to diagnose abdominal TB?
..GI Endoscopy
..Barium studies
..Peritoneal fluid microscopy, Gene Xpert and TB culture
..Peritoneal gross examination and biopsy
..abdominal lymph node biopsy
..look for chest/lungs or other organs involvement
..history of TB contact(may need good inquiry)
..symptoms of fever especially afternoon or evening/night, anorexia, +/-constipation/or diarrhea, weight loss, lethargy,...
These points may help upto great extent in making diagnosis...
If physician is convinced to start anti tuberculous treatment, good response may be noted in 15-45days in majority of patients...important exclusion include drug resistant tuberculosis and other illnesses closely related to TB.
Can consult nearby physician experienced in the diagnosis and management of TB.
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